Jonathan Medrano, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124552 Issued in CA

Practice address

5609 Yolanda Ave. PO Box 572032
Tarzana, CA 91357-5001

Phone

(818) 926-9919

NPI assigned

Mar 11, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1750039558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 YOLANDA AVE. PO BOX 572032",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913575001",
            "telephone_number": "818-926-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 YOLANDA AVE. PO BOX 572032",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913575001",
            "telephone_number": "818-926-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "JONATHAN",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "124552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Valley Partners, Inc
• Medical Valley Partners, Inc.
• Medicure Pharmaceuticals Inc
• Jason Robert Medina
• Mednite Diagnostics
• Medrx Inc
• Medstar Medical Group
• Lisa Alexandra Medvetsky
• Mee Ambulatory Surgery Center Inc
• Shannon Mehdian

• Clinical Social Worker in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.